Individual
MARY LOUISE SCANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNCS
Contact information
Practice address
26 CENTRAL ST, SOMERVILLE, MA 02143-2827
(617) 591-6300
(617) 591-6435
Mailing address
26 CENTRAL ST, SOMERVILLE, MA 02143-2827
(617) 591-6300
(617) 591-6435
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
216316
MA
363LF0000X
Family Nurse Practitioner
Primary
216316
MA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
216316
MA
Other
Enumeration date
10/27/2006
Last updated
08/13/2009
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